Can a Compression Vest for Chest Cause Spinal/back Damage?

Question

I had gynecomastia surgery and have been wearing a compression vest as required post op. However, I've noticed my back and neck start to ache after wearing the vest constantly. I've tried loosening it too, but my back/neck still ache. I was wondering, can such type of vest cause spinal or back damage? The vest is not on extremely tight and I don't have any skin marks from wearing it, but not sure why my back/neck ache? Thanks

Larry S. Nichter, MD, MS, FACS · Answer

I recommend my patients wear their garments for a minimum of 3 weeks if not a lot of redundant skin following liposuction male breast reduction to a maximum of 6 weeks. To be effective the garment needs to fit snug but not too tight as to cause pressure problems (inspect your skin if discomfort and when skin is exposed), or prevent you from sleeping. As the edema resolves it is common for patients to switch to a smaller garment that fits - A Spanx type garment would work rather than ordering one or paying more at your doctor;'s office.Male Breast Reduction (Gynecomastia Reduction) by liposuction requires compression garments for three main reasons:it restricts the amount of edema that forms and hastens its resolution by mechanical pressureIt decreases the amount of bruisingIt assists the loose skin in retracting or shrinking

Ronald Schuster, MD · Answer

Not to worry. I'm certain that the vests do not cause any spinal compression. Your back might be in a little spasm due to the soreness and surgery on the front of your chest. Take some warm baths, NSAIDs (if not contraindicated) and maybe a back massage. Check with your surgeon first.

Robert L. Kraft, MD, FACS · Answer

The compression vest will not harm your spine and back.  Some patients report back
 pain secondary to hours on an OR table or changes in posture and sleep positions postoperatively.

Steven Wallach, MD · Answer

It is unlikely that a compression garment has caused back and neck pain although I suppose it is possible. More than likely it is the way you are lying in bed or performing actiivities after surgery.

Tom J. Pousti, MD · Answer

Thank you for the question.

	No, the use of the compression vest will not cause spine/back damage. Many patients experience temporary neck back shoulder discomfort from positional issues during and after surgical procedures. For example, simply lying on the back for long periods after surgery may be aggravating. These symptoms generally resolve as patient activity increases and they are able to resume normal sleeping positions, stretching, exercise&hellip;

	Best wishes.

Can a Compression Vest for Chest Cause Spinal/back Damage?

Answers (6)